The above applicant is / was in my employ and have found and believe him / her to be of good moral character, of temperate and industrial habits, and in all respects competent to perform the duties of the certification applied for.
I, the undersigned do certify from my working knowledge of the applicant, that he / she is the person of temperate habits and of good character, and do recommend him / her as a suitable person to be entrusted with the duties of the occupation for which he / she makes application. I also attest that he / she has gained the required experience as contained in his / her application.
I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statements herein I am subject to the possible revocation of any certification issued as a result of my false application, and such other penalties as may be prescribed by law.
I also hereby acknowledge this day that I understand that this may be a voluntary certification program, and that I have received notice of the NIULPE, Inc. Regulations and Procedures, and understand and accept the items contained within.
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Pittsburgh, PA 15242-0369
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